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Javier, Darryl O. BSN311-Group 42
ASSESSMENT
NURSING DIAGNOSIS
INFERENCE
GOAL
NURSING INTERVETION
RATIONALE
EVALUATION
Subjective: kelangan ko lagi ng may kasama, lalo na pag naglalakad. Malabo na kasi ang paningin ko. as verbalized by the patient
Risk for falls related to present eye condition specifically blurring of the left eye due to aging process.
Objective: BP: 120/70 T: 36.2 PR: 74 RR: 17
A cataract is a clouding that develops in the crystalline lens of the eye or in its envelope, varying in degree from slight to complete opacity and obstructing the passage of light. Cataracts typically progress slowly to cause vision loss and are potentially blinding if untreated. The condition usually affects both the eyes, but almost always one eye is affected earlier than the other. A senile cataract, occurring in the aged, is characterized by an initial
After the 8 hour shift, the client will be able to demonstrate behavior and lifestyle to reduce the risk factor and the client will be able to establish safety measures.
Assess mood, coping abilities and personality styles
To evaluate clients cognitive status in relation to the clients present condition
After 8 hours of care goals met. Patient was able to establish safety measures.
Monitor vital signs and also the health condition of the patient
To determine physiologic factors that could also affect the risk for accidents (falls).
Assist the client and provide information regarding present eye condition and risk that accompany it
To enhance awareness of the client regarding her present condition
Advise the client to